Ilya Yagudayev, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

046209 Issued in NY

Practice address

6511 108TH St
Office a
Forest Hills, NY 11375-1854

Phone

(718) 997-1954

NPI assigned

Oct 24, 2005

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1130112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1063402774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18 KEW GARDENS RD",
            "city": "KEW GARDENS",
            "state": "NY",
            "postal_code": "114151104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6511 108TH ST",
            "address_2": "OFFICE A",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113751854",
            "telephone_number": "718-997-1954"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YAGUDAYEV",
        "first_name": "ILYA",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-24",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "046209",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David Yadgar, MS PT DPT
• Dmitriy Yadgarov, MD
• Rita Yadgarova
• Tamara Yaguda
• Elizabeth Yagudaev, SI (MS,ED)
• Revital Yagudayev
• Elana Yagudayeva
• Malka Yagudayeva
• Negkadam Yagudayeva, PA
• Yakov Levy MD PC

• General Practice Dentistry in Forest Hills, NY
• Providers in Forest Hills, NY by specialty
• General Practice Dentistry in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.